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Family Planning and Sexual Health Association* Protects human rights;* Tries to achieve that all families would be healthy and happy, and babies are born wanted, healthy and loved in Lithuania; * Stimulates the interest of population to reproductive and sexual health;
*Tries to reduce the number of abortions as much as possible;* Makes efforts that people and families would have an access to necessary information and exercise their right to make free and informed choice in family planning;* Tries to achieve that all women and men would be healthy and know how to protect themselves against unwanted pregnancy and sexually transmitted diseases, how to use modern contraceptives and would use them;
There are more than 50 unplanned pregnancies for 100 births in Lithuaniaincluding abortions and births under 18 years old
90% of abortions are made terminatingsecond or further pregnancy
57% of 18-19 years old couples do not use contraception means
Barriers in Family Planning • Expensive contraception 2,5–8 USD hormonal pills 1,5 USD 3 condoms • Surgical sterilization is not allowed • Counseling on contraception is not sufficient • There are no FP centers
Extragenital pathology leads to 40% of all causes of maternal mortality
HIV (April 1, 2003) Total 765 8% Women 70 (9%) Heterosexual way
Sexual education at school* No separate subject* Teachers are not trained* Predominance of abstinence programmes* Lack of methodology
Political and regulatory context There are no: • National RH policy • RH Law • RH Programme • Survey on RH, contraception use
Advocacy activities RH Draft Law • access to abortion to women with low incomes • access to contraception • availability of all FP methods, including voluntary sterilization • sexuality education at school (project for 3 Baltic States with RFSU)
RH services • Medical abortion • Youth friendly clinic • Counseling on FP Responsible governmental RH center